CAMPHOR 4%/MENTHOL 10% GEL,TOP (27147)    VA PRODUCT (50.68)

Name Value
NAME CAMPHOR 4%/MENTHOL 10% GEL,TOP
VA GENERIC NAME CAMPHOR/MENTHOL
DOSAGE FORM GEL,TOP
FORMULARY DESIGNATOR TEXT 
Not supplied by pharmacy for inpatient use.
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME CAMPHOR/MENTHOL GEL,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME CAMPHOR 4%/MENTHOL 10% TOP GEL
VA PRODUCT IDENTIFIER C1787
TRANSMIT TO CMOP YES
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4036028
EFFECTIVE DATE/TIME
  • 2016-09-02 00:00:00
    STATUS:   ACTIVE